| NPI | 1336242718 |
|---|---|
| Doing Business As | UPTOWN DENTAL DESIGNS |
| Entity Type | Organization |
| Authorized Contact | ALICE MARY BOOTH Dentist 619-546-0488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 34933) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 23400) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2007-11-14 |